Primary Care of the Childbearing and
Childrearing Family Review|(Latest 2025/
2026 Update) Questions & Answers|
Grade A+| 100% Correct (Verified
Solutions)
_____________________________________________________________________________________
first line treatment for allergic rhinitis
Avoid triggers
Fluticasone 50mcg (Flonase) 2 times aday Triamcinolone 55mcg (Nasacort 24HR) 1-2x daily
topical antihistamine spray
Azelastine (Astelin) 1-2x daily
Comolyn sodium nasal spray 3x daily (less effective than steroids)
second line treatment for allergic rhinitis
decongestants (pseudoephedrine or Sudafed) PRN do NOT give to pregnant/infants/young
children
oral antihistamines Benadryl (causes sedation)
2nd gen: Zyrtec/Claritin PO daily
Enterovirus
Poliovirus and coxsackievirus
How is enterovirus transmitted?
fecal-oral route
what group is at risk for enterovirus
<10 yrs.
A nurse conducting a meeting on prevention of eye injuries. Which statements by the group members
indicate that the group needs additional teaching? Select all that apply
-"If you get hit in the eye with something, apply direct pressure with an ice pack."
"If your eyes feel gritty while you are wearing contact lenses, put rewetting drops in them."
The school nurse is teaching a group of parents about strategies to prevent eye injuries. Which
statement by a parent indicates understanding of the teaching session?
, "My son wears a face shield when he plays hockey.
if dark-red brown light reflex is on eye exam, what should the NP do
Refer to an ophthalmologist, risk of retinoblastoma
Best sports to play if you have asthma
those physical activities of short duration—golf, volleyball, gymnastics, baseball, wrestling,
football, and short-term track and field events. While some swimming can be a high-endurance
event, the warmth and humidity around the pool make breathing easier
down syndrome is caused by.
Trisomy 21
clinical findings of down syndrome
round flat face
upward slanting eyes
low set ears
chronic open mouth d/t enlarged tongue
simian crease
Cataracts
heart defects
congenital hearing loss
people w/ down syndrome are at higher risk for congenital cataracts and should receive
Ongoing ophthalmologic exam for cataracts
tx for cataracts
surgery
parent education for down syndrome
cervical spine positioning - avoid contact sports
monitor for myelopathy (disease of the spinal cord)
signs of otitis media
Fever, TM erythema, TM bulging, TM dullness
treatment for otitis media
only those with purulent otitis media, otherwise
1st line: *Amoxicillin* x10 days 80-90 mg/kg/day divided twice a day (maximum dose 2 to 3 gm
daily)
2nd line: Amoxicillin-clavulanate or Azithromycin x5 days or
Benzocaine otic drops can be used for children older than 5 years old
Childrearing Family Review|(Latest 2025/
2026 Update) Questions & Answers|
Grade A+| 100% Correct (Verified
Solutions)
_____________________________________________________________________________________
first line treatment for allergic rhinitis
Avoid triggers
Fluticasone 50mcg (Flonase) 2 times aday Triamcinolone 55mcg (Nasacort 24HR) 1-2x daily
topical antihistamine spray
Azelastine (Astelin) 1-2x daily
Comolyn sodium nasal spray 3x daily (less effective than steroids)
second line treatment for allergic rhinitis
decongestants (pseudoephedrine or Sudafed) PRN do NOT give to pregnant/infants/young
children
oral antihistamines Benadryl (causes sedation)
2nd gen: Zyrtec/Claritin PO daily
Enterovirus
Poliovirus and coxsackievirus
How is enterovirus transmitted?
fecal-oral route
what group is at risk for enterovirus
<10 yrs.
A nurse conducting a meeting on prevention of eye injuries. Which statements by the group members
indicate that the group needs additional teaching? Select all that apply
-"If you get hit in the eye with something, apply direct pressure with an ice pack."
"If your eyes feel gritty while you are wearing contact lenses, put rewetting drops in them."
The school nurse is teaching a group of parents about strategies to prevent eye injuries. Which
statement by a parent indicates understanding of the teaching session?
, "My son wears a face shield when he plays hockey.
if dark-red brown light reflex is on eye exam, what should the NP do
Refer to an ophthalmologist, risk of retinoblastoma
Best sports to play if you have asthma
those physical activities of short duration—golf, volleyball, gymnastics, baseball, wrestling,
football, and short-term track and field events. While some swimming can be a high-endurance
event, the warmth and humidity around the pool make breathing easier
down syndrome is caused by.
Trisomy 21
clinical findings of down syndrome
round flat face
upward slanting eyes
low set ears
chronic open mouth d/t enlarged tongue
simian crease
Cataracts
heart defects
congenital hearing loss
people w/ down syndrome are at higher risk for congenital cataracts and should receive
Ongoing ophthalmologic exam for cataracts
tx for cataracts
surgery
parent education for down syndrome
cervical spine positioning - avoid contact sports
monitor for myelopathy (disease of the spinal cord)
signs of otitis media
Fever, TM erythema, TM bulging, TM dullness
treatment for otitis media
only those with purulent otitis media, otherwise
1st line: *Amoxicillin* x10 days 80-90 mg/kg/day divided twice a day (maximum dose 2 to 3 gm
daily)
2nd line: Amoxicillin-clavulanate or Azithromycin x5 days or
Benzocaine otic drops can be used for children older than 5 years old
